Paul Douglas Davis, DDS is a
Dentist based in Petersburg, Illinois. Paul Douglas Davis is licensed to practice in Illinois (license number ) and his current practice location is
213 N 5th St, Petersburg, Illinois. He can be reached at his office (for appointments etc.) via phone at
(217) 632-2077.
NPI number for Paul Douglas Davis is 1114197514 and his current mailing address is 213 N 5th St, Petersburg, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114197514.
Healthcare Provider's Profile
Full Name | Paul Douglas Davis |
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Gender | Male |
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Speciality | Dentist |
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Location | 213 N 5th St, Petersburg, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114197514
- Provider Enumeration Date: 03/03/2008
- Last Update Date: 03/03/2008
Medical Identifiers
Medical identifiers for Paul Douglas Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114197514 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Paul Douglas Davis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Paul Douglas Davis, DDS 213 N 5th St, Petersburg, IL 62675-1303 Ph: (217) 632-2077 | Paul Douglas Davis, DDS 213 N 5th St, Petersburg, IL 62675-1303 Ph: (217) 632-2077 |
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